Coding Rules Current as at 18-Oct-2016 08: 31

Atrophy, atrophic

- brain (cortex) (progressive) (see also Degeneration/brain) G31.9

and

F18.1    Mental and behavioural disorders due to use of volatile solvents, harmful use as it is the underlying cause of cerebellar atrophy, following the index pathway:

Use (of)

- harmful

- - inhalants F18.1

Sequelae codes are not assigned as cerebellar atrophy is not a late effect but a direct result from the harmful use of petrol sniffing (refer to ACS 0008 Sequelae).

Index amendments will be considered for a future edition of ICD-10-AM.

Published 15 June 2015,
for implementation 01 July 2015.

Ref No: Q2823 | Published On: 15-Jun-2015 | Status: Current

SUBJECT: Trial of void admissions in the puerperium

Q:

What codes should be assigned for an obstetric patient who is re-admitted in the puerperal period for a trial of void (TOV) following a forceps delivery under local anaesthetic in her previous admission? Would the TOV be considered to be postoperative?

A:

There are many reasons why a patient may develop urinary retention in the postpartum period, including:

1. 
   changes in the bladder during pregnancy
   
2. 
   primiparity
   
3. 
   prolonged labour, particularly second stage
   
4. 
   assisted/instrumental delivery
   
5. 
   perineal injury.
   

Therefore, unless the clinical documentation indicates that the urinary retention is directly related to the use of instrumentation during delivery, the trial of void should be coded as non postop, as in the guidelines in ACS 1904 Procedural complications, which state that:

            ‘if it cannot be determined whether a condition meets the definition of a procedural complication, it should not be coded as such’.

Assign the following codes for a postpartum admission for trial of void - non postoperative: